HomeMy WebLinkAboutXR2022-2497 - Permitso a�wao @ Cirty olf NDewport Bea mhnt- Building Division II III I I I II I II I III I IIII II II 2022-2358
Depar
: PCCOMB Permit : XR2O22-2497
n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
6 )+ = Permit Counter Phone: (949) 644-3288 Issued Date : 0912012022PC
Inspection Requests Phone: (949) 644-3255
°q<rconH'P newportbeachca.govfinspections Inspection Area : 4
Combination Type - MFP
Work Class - Alteration
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 9211 RESIDENCIA Legal Desc : N TR 15584 8LK LOT 9
Description: MFR REMOVE & REPLACE 5/8" TYPE X GYP BRD IN KITCHEN, INSULATION AS NEEDED 32 SF.
Owner: THE IRVINE COMPANY LLC
Contractor : NATIONAL RENOVATION INC
_ Architect: RANIERI RANDY
Address : 550 NEWPORT CENTERDR'
Address i 1460 N Daly'ST
Address : 5868 MESQUITE SPRINGS RD
NEWPORT BEACH, CA 92660
Anaheim, CA 92806
TWENTYNINE PALMS, CA 92277
Phone :
... Phone : (951).275 1710
- phone : (714) 296-5502
Con State Lie : ' 956793
State Lie
Lie Expire : 01/31/2023
Applicant: JAY TRUAX
Bus Lie: BT30062023
Engineer
Address: 206.5 ABALONE AVE
Bus Lie Expire : 01/31/2023
Address
NEWPORT BEACH, CA
Phone: (949) 285-5594
Workers' Compensation Insurance
Phone:
Carrier: (INSURANCE COMPANY OF THE WEST
Owner/Builder :
- Policy No: WVE506190300
Designer:
Address :
W. C. Expire: 9/1/2022
Address:
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $4,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups : R-2
No of Units : _ 57
" Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 3
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
Use Zone: PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
°
i hereby affirm under penalty of penury. that I am exempt from the Contractors State. License Law far the reason(s) indicated below by the cheekmark(s) I have placed next to the applicable Remits)
ction 7031.5, Business and Professions Code: Any city or county final; requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that heor she is licensed pursuant to the provisions of the Contractors` Stale License. Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
fassions Code) or that he. or she is exempt from licensure and the: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant tpa Civil penalty of
I,.as owner of the property, or my employees with wages as theirsolecompensation, will do U all of or (_) portions -of:the work, and the structure is notlntended or offered for sale (Section 7044,
'mess and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees or personal effort, builds or improves theproperty, provided that the
ovements are not intended or offered for sale. IF however,the building or improvement, is sold within one year of completion, the Owner-Builderwili have theburden of proving that it not built. or
Oved for the purpose of sale).
1, as owner of the property,am exclusively contracting with licensed Contractors to construct the project (Section 71144, Business and Professions Coder The Contractors' State License Lawdoes not
yto an owner of propertywho builds or improves thereon, and who contracts for: the projects with a licensed Contractor pursuant to the Contractors' State License Law),.
i am exempt from licensure under theContractors'State License taw for the following reason:
ny signatures below t acknowledge that, except for my personal residence in which I must have resided for atteast one year prior to completion of the improvements covered by this permit, I cannot leg
astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable •: law, Section 7044 of the Business and
essions Code, is available upon request when this application is submitted or at. the foilowing Web site:httpliwww.leginfo.ca.gov/calavrhtml.
of
hereby affirm under penalty of perjury that, l am licensed under provisions of Chapter 9 (commencing with Section } of Division the Business and Proffse is in full force:
nd effect. License Class LicenseNo D — e -Z Contractor Si natur _
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TJOUSAND DOLLARS ($100,0001, IN ADOnION TO TI
OST OF CCMPENSATION, DAMAGES. AS PROVIDED FOR IN $EOTION 3706 OF THE. LABOR CODE; KTERES'T, AND ATTQRNEY'S FEES.
hereby affirm under penalty of perjury oneof the following declarations:
I I have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for
erfomlance of the work for which this permit is issued Policy No.
ve and will maintain workers compensation insurance, as .required by Section 3700 of the Labor Code. for the performanceofthe work for which this: permit is issued. My. workers' compensad
ranee carrier and policy number are:
Agent
oedify that, inthe
, if I should beeo€r
Ideris Name
mysighature below, I car
I am the property owner
shave readthis applicat
I agree to comply with a
I authorize representan,
ACTION
PERMIFEXPIREO
PERMIT CANCELLED
PEW1W T EXfENDPD
PERMIT FINAL
CERTIFICATE OF
DCCUPANCY15SUED
PolicyNumber
Date
which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
erfisov€sions of Section 3700 of theLaborCode; I shall forthwith comply with those provisions.
pa� �-20.ZZ
.ENDING AGENCY V
s at construction lending agency for the performance of the work for which this permit is issued (Section 3097, Clv I Code).
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to building construction.
)r Inspection purposes:.
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